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Individual
MR. RONALD JOHN PALLICK
Active
Individual
MR. RONALD JOHN PALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS, P-LCSW, LSSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1329
NC
1041C0700X
Clinical Social Worker
P004410
NC
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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